| NPI | 1154776482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: GA 81735) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 77077) |
| Enumeration Date | 2016-04-23 |
| Last Update Date | 2025-08-13 |